Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/517—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/0012—Galenical forms characterised by the site of application
  • A61K9/0048—Eye, e.g. artificial tears
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/10—Dispersions; Emulsions
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P27/00—Drugs for disorders of the senses
  • A61P27/02—Ophthalmic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P27/00—Drugs for disorders of the senses
  • A61P27/02—Ophthalmic agents
  • A61P27/06—Antiglaucoma agents or miotics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P27/00—Drugs for disorders of the senses
  • A61P27/02—Ophthalmic agents
  • A61P27/12—Ophthalmic agents for cataracts
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

• the present invention relates to topical ophthalmological pharmaceutical compositions containing cediranib, a hydrate, solvate or pharmaceutically acceptable salt thereof or a polymorph thereof and its process of preparation and its use for treating ophthalmological disorders.
• Cediranib which is 4-[(4-fluoro-2-methyl-lH-indol-5-yl)oxy]-6-methoxy-7-[3-(pyrrolidin-l- yl)propoxy]quinazoline, a compound of formula (I)
• VEGF vascular endothelial growth factor
• AMD Age-related macular degeneration
• the dry, or nonexudative, form involves both atrophic and hypertrophic changes of the retinal pigment epithelium (RPE).
• RPE retinal pigment epithelium
• CNVM pathologic choroidal neovascular membranes
• the eye is composed of three major anatomic compartments, the anterior chamber, posterior chamber, and vitreous cavity, that have limited physiological interaction with each other.
• the retina is located in the back of the vitreous cavity, and is protected from the outside by the sclera which is the white, tough, impermeable wall of the eye.
• Choroidal blood flow is the usual method of carrying substances to the choroid and requires e.g. oral or intravenous administration of the drug.
• Most drugs cannot be delivered to the choroid by eye drops or a depot in vicinity to the eye.
• Some drugs have been delivered to the retina and thus to the choroid by injection into the vitreous chamber of the eye.
• the treatment of posterior eye diseases (back of the eye) by easily applicable topical eye formulations like eye drops is still an unsolved problem.
• VEGF vascular endothelial growth factor
• Drugs which block the effects of VEGF are described for treating wet AMD such as aptamers like pegaptanib (New Engl. J. Med. 2004, 351, 2805-2816), or VEGF antibodies like ranibizumab (New Engl. J. Med. 2006, 355, 1419-1431) or bevacizumab (Ophthalmology, 2006, 113, 363-372).
• said drugs have to be administered intravitreally by injection into the eye.
• Sorafenib, a VEGF inhibitior as well is described for treating CNV by oral administration (Clinical and Experimental Ophthalmology, 2010, 38, 718-726).
• Pazopanib a VEGF inhibitior as well, is described for treating AMD by topical administration of eye drops containing an aqueous solution of Pazopanib (WO 2011/009016).
• WO 2006/133411 describes compounds for the treatment of CNV by topical administration of liposomal formulations.
• WO 2007/076358, US2006257487 describe aqueous ophthalmological formulations for topical administration.
• WO 2008/27341 describes emulsions for topical administration to the eye.
• WO 2011/113855 describes topical eye drop formulations containing different drugs and semifluorinated alkanes as carriers for the treatment of diseases in front of the eye.
• topical ophthalmological pharmaceutical compositions for compounds having for example a low solubility which cannot be formulated in a simple solution, emulsion, as a complex or in a liposomal formulation.
• the topical ophthalmological pharmaceutical composition has to provide a concentration of the active agent in the eye which is sufficient for an effective therapy. This is dependent on the solubility and the release behavior of the active agent. In the case of a liquid formulation the dissolution properties and chemical stability of the active agent are of importance. In order to support a high compliance the topical ophthalmological pharmaceutical composition should not have to be taken in more than 5 times a day, the less the better.
• Type and amount of the excipients in combination with the process of preparation of the pharmaceutical composition are essential for release properties, bioavailability of the active agent in the eye, in particular in the back of the eye (e.g. in the area of the retina, Bruch's membrane and choroid), stability, compatibility, efficacy and the industrial applicability of the manufacturing process for the topical ophthalmological pharmaceutical composition.
• the problem to be solved by the present invention is to provide a topical ophthalmological pharmaceutical composition comprising cediranib as active agent which has a sufficient stability and compatibility and which achieves an effective concentration of cediranib in the eye, in particular in the back of the eye for the treatment of ophthalmological disorders with sufficient efficacy by avoiding an intravenous or oral administration or injection into or close to the eye (e.g. intravitreal or other injections).
• the pharmaceutical composition according to the invention provides by topical administration a sufficient amount of the active agent into the eye which is effective for treating ophthalmological disorders.
• the pharmaceutical composition according to the invention provides the active agent in a sufficient amount into the back of the eye, i.e. that the pharmaceutical composition according to the invention effects the transportation of the active agent from the front of the eye to the back of the eye.
• the pharmaceutical composition according to the invention has a sufficient stability without any meaningful degradation of the active agent and is compatible with the eye.
• the present invention pertains to a topical ophthalmological pharmaceutical composition
• a topical ophthalmological pharmaceutical composition comprising cediranib, the compound of the formula (I),
• composition comprising cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib or a polymorph thereof as active agent and at least one pharmaceutically acceptable vehicle and optionally at least one pharmaceutically acceptable excipient wherein the composition is a suspension comprising the active agent suspended in the applicable pharmaceutically acceptable vehicle.
• compositions comprising cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib or a polymorph thereof as active agent and at least one non-aqueous pharmaceutically acceptable vehicle and optionally at least one pharmaceutically acceptable excipient wherein the composition is a non-aqueous solution comprising the active agent dissolved in the non-aqueous applicable pharmaceutically acceptable vehicle.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof. Most preferably the pharmaceutical composition of the present invention only contains cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib or a polymorph thereof as single and only active agent and no other active agent.
• a pharmaceutically acceptable vehicle or excipient is any vehicle or excipient which is relatively non-toxic and innocuous to a patient at concentrations consistent with effective activity of the active agent so that any side effects ascribable to the vehicle or excipient do not vitiate the beneficial effects of the active agent.
• the compound of formula (I) or "cediranib” refer to 4-[(4-fluoro-2-methyl-lH-indol-5- yl)oxy]-6-methoxy-7-[3-(pyrrolidin-l-yl)propoxy]quinazoline as depicted in formula (I).
• compound of the invention or “active agent” refer to cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib, or a polymorph thereof.
• Solvates for the purposes of the invention are those forms of the compounds or their salts where solvent molecules form a stoichiometric complex in the solid state and include, but are not limited to for example ethanol and methanol.
• Hydrates are a specific form of solvates, where the solvent molecule is water. Hydrates of the compounds of the invention or their salts are stoichiometric compositions of the compounds or salts with water, such as, for example, hemi-, mono- or dihydrates. Preference is given to the monohydrate of cediranib.
• Salts for the purposes of the present invention are preferably pharmaceutically acceptable salts of the compounds according to the invention.
• Suitable pharmaceutically acceptable salts are well known to those skilled in the art and include salts of inorganic and organic acids, such as hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, methanesulphonic acid, trifluoromethanesulfonic acid, benzenesulfonic acid, />-toluenesulfonic acid (tosylate salt), 1-naphthalenesulfonic acid, 2- naphthalenesulfonic acid, acetic acid, trifluoroacetic acid, malic acid, tartaric acid, citric acid, lactic acid, oxalic acid, succinic acid, fumaric acid, maleic acid, benzoic acid, salicylic acid, phenylacetic acid, and mandelic acid.
• salts of inorganic bases include salts containing alkaline cations (e.g., Li + Na + or K + ), alkaline earth cations (e.g., Mg +2 , Ca +2 or Ba +2 ), the ammonium cation, as well as acid salts of organic bases, including aliphatic and aromatic substituted ammonium, and quaternary ammonium cations, such as those arising from protonation or peralkylation of triethylamine, NN-diethylamine, NN-dicyclohexylamine, lysine, pyridine, N,N- dimethylaminopyridine (DMAP), l,4-diazabiclo[2.2.2]octane (DABCO), l,5-diazabicyclo[4.3.0]non-5- ene (DBN) and l,8-diazabicyclo[5.4.0]undec-7-
• alkaline cations e
• the topical ophthalmological pharmaceutical composition according to the invention comprises the compound of the invention, preferably cediranib, in a solid form, preferably in a crystalline form, more preferably in a microcrystalline form.
• Micronization can be achieved by standard milling methods, preferably by air jet milling, known to a skilled person.
• the microcrystalline form can have a mean particle size of from 0.5 to 10 ⁇ , preferably from 1 to 6 ⁇ , more preferably from 1 to 3 ⁇ .
• the indicated particle size is the mean of the particle size distribution measured by laser diffraction known to a skilled person (measuring device: HELOS, Sympatec).
• the minimum concentration of the compound of the invention, preferably cediranib, in the topical ophthalmological pharmaceutical composition is 0.01 %, preferably 0.2 % by weight of the total amount of the composition.
• the maximum concentration of the compound of the invention, preferably cediranib, in the topical ophthalmological pharmaceutical composition is 10 %, preferably 5 %, more preferably 4 % by weight of the total amount of the composition.
• a concentration of the compound of the present invention in the pharmaceutical composition from 0.1 to 100 mg/ml, preferably from 1 to 50 mg/ml, more preferably from 2 to 40 mg/ml.
• a concentration of cediranib in the pharmaceutical composition from 0.1 to 100 mg/ml, preferably from 1 to 50 mg/ml, more preferably from 2 to 40 mg/ml.
• the topical ophthalmological pharmaceutical composition according to the invention includes but is not limited to eye drops, solutions, gels, ointments, dispersions or suspensions.
• a topical ophthalmological pharmaceutical composition which is a suspension.
• the compound of the invention preferably cediranib
• the micronized form can have a mean particle size of from 0.5 to 10 ⁇ , preferably from 1 to 6 ⁇ , more preferably from 2 to 3 ⁇ .
• the indicated particle size is the mean of the particle size distribution measured by laser diffraction known to a skilled person (measuring device: HELOS, Sympatec).
• One embodiment of the present invention is a topical ophthalmological pharmaceutical composition which is a suspension comprising the compound of the invention, preferably cediranib, in a solid form, preferably in a crystalline form, more preferably in a microfine crystalline form suspended in an applicable pharmaceutically acceptable vehicle, and optionally further comprising one or more pharmaceutically acceptable excipients.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof. Most preferably the pharmaceutical composition of the present invention only contains cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib or a polymorph thereof as single and only active agent and no other active agent.
• Suitable pharmaceutically acceptable vehicles used for the suspension include but are not limited to oleoyl polyethyleneglycol gylcerides, linoleoyl polyethyleneglycol gylcerides, lauroyl polyethyleneglycol gylcerides, hydrocarbon vehicles like liquid paraffin (Paraffinum liquidum, mineral oil), light liquid paraffin (low viscosity paraffin, Paraffinum perliquidum, light mineral oil), soft paraffin (vaseline), hard paraffin, vegetable fatty oils like castor oil, peanut oil or sesame oil, synthetic fatty oils like middle chain trigylcerides (MCT, triglycerides with saturated fatty acids, preferably octanoic and decanoic acid), isopropyl myristate, caprylocaproyl macrogol-8 glyceride, caprylocaproyl polyoxyl-8 glycerides, wool alcohols like cetylstearylalcohols, wool fat, glycerol, propylene
• the pharmaceutical suspension according to the present invention comprising a lipophilic vehicle like liquid or light liquid paraffin provides by topical administration a sufficient amount of the active agent into the eye which is effective for treating ophthalmological disorders, although the solubility of cediranib in lipophilic vehicles is very low.
• a topical ophthalmological pharmaceutical composition which is a non-aqueous solution comprising the compound of the invention, preferably cediranib, dissolved in an applicable non-aqueous pharmaceutically acceptable vehicle, and optionally further comprising one or more pharmaceutically acceptable excipients
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof.
• the pharmaceutical composition of the present invention only contains cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib or a polymorph thereof as single and only active agent and no other active agent.
• Suitable non-aqueous pharmaceutically acceptable vehicles used for the solution include but are not limited to oleoyl polyethyleneglycol gylcerides, linoleoyl polyethyleneglycol gylcerides, lauroyl polyethyleneglycol gylcerides, hydrocarbon vehicles like liquid paraffin (Paraffinum liquidum, mineral oil), light liquid paraffin (low viscosity paraffin, Paraffinum perliquidum, light mineral oil), soft paraffin (vaseline), hard paraffin, vegetable fatty oils like castor oil, peanut oil or sesame oil, synthetic fatty oils like middle chain trigylcerides (MCT, triglycerides with saturated fatty acids, preferably octanoic and decanoic acid), isopropyl myristate, caprylocaproyl macrogol-8 glyceride, caprylocaproyl polyoxyl-8 glycerides, wool alcohols like cetylstearylalcohols, wool fat, glyce
• the pharmaceutically acceptable vehicle is the basis of the topical ophthalmological pharmaceutical composition according to the present invention and is present in the composition in a minimum concentration of 75%, preferably 80%, more preferably 85% and in a maximum concentration of 99.9%, preferably 99%, more preferably 98% by weight of the total amount of the composition.
• the pharmaceutical composition according to the present invention may have different viscosities, so that in principle a range from low-viscosity system to pastes is conceivable. Preference is given to fluid systems which include low-viscosity and also higher-viscosity systems as long as they still flow under their own weight.
• Suitable further pharmaceutically acceptable excipients used in the topical ophthalmological pharmaceutical composition according to the present invention include but are not limited to stabilizers, surfactants, polymer based carriers like gelling agents, organic co-solvents, pH active components, osmotic active components and preservatives.
• Suitable surfactants used in the topical ophthalmological pharmaceutical composition according to the present invention include but are not limited to lipids such as phospholipids, phosphatidylcholines, lecithin, cardiolipins, fatty acids, phosphatidylethanolamines, phosphatides, tyloxapol, polyethylenglycols and derivatives like PEG 400, PEG 1500, PEG 2000, poloxamer 407, poloxamer 188, polysorbate 80, polysorbate 20, sorbitan laurate, sorbitan stearate, sorbitan palmitate or a mixture thereof, preferably polysorbate 80.
• lipids such as phospholipids, phosphatidylcholines, lecithin, cardiolipins, fatty acids, phosphatidylethanolamines, phosphatides, tyloxapol, polyethylenglycols and derivatives like PEG 400, PEG 1500, PEG 2000, poloxamer 407,
• Suitable polymer base carriers like gelling agents used in the topical ophthalmological pharmaceutical composition according to the present invention include but are not limited to cellulose, hydroxypropylmethylcellulose (HPMC), hydroxypropylcellulose (HPC), carboxymethyl cellulose (CMC), methylcellulose (MC), hydroxyethylcellulose (HEC), amylase and derivatives, amylopectins and derivatives, dextran and derivatives, polyvinylpyrrolidone (PVP), polyvinyl alcohol (PVA), and acrylic polymers such as derivatives of polyacrylic or polymethacrylic acid like HEMA, carbopol and derivatives of the before mentioned or a mixture thereof.
• HPMC hydroxypropylmethylcellulose
• HPC carboxymethyl cellulose
• MC methylcellulose
• HEC hydroxyethylcellulose
• PVP polyvinylpyrrolidone
• PVA polyvinyl alcohol
• acrylic polymers such as derivatives of polyacrylic or polymethacrylic acid like HEMA, carb
• Suitable organic co-solvents used in the pharmaceutical composition according to the invention include but are not limited to ethylene glycol, propylene glycol, N-methyl pyrrolidone, 2-pyrrolidone, 3- pyrrolidinol, 1,4-butanediol, dimethylglycol monomethylether, diethyleneglycol monomethylether, solketal, glycerol, polyethylene glycol, polypropylene glycol.
• Suitable pH active components such as buffering agents or pH-adjusting agents used in the pharmaceutical composition according to the invention include but are not limited to disodium phosphate, monosodium phosphate, boric acid, sodium borate, sodium citrate, hydrochloric acid, sodium hydroxide.
• the pH active components are chosen based on the target pH for the composition which generally ranges from pH 4 - 9.
• Suitable osmotic active components used in the pharmaceutical composition according to the invention include but are not limited to sodium chloride, mannitol, glycerol.
• Preservatives used in the pharmaceutical composition according to the invention include but are not limited to benzalkonium chloride, alkyldimethylbenzylammonium chloride, cetrimide, cetylpyridinium chloride, benzododecinium bromide, benzethonium chloride, thiomersal, chlorobutanol, benzyl alcohol, phenoxethanol, phenylethyl alcohol, sorbic acid, methyl and propyl parabens, chlorhexidine digluconate, EDTA or mixtures thereof.
• Gelling agents, pH active agents and osmotic active agents are preferably used in the case of an aqueous pharmaceutically acceptable vehicle.
• the amount of the suitable further pharmaceutically acceptable excipient in the composition according to the present invention can be from 0.1 to 15 %, preferably from 0.5 to 10 %, more preferably from 1 to 5 % by the total weight of the composition.
• the amount of hydroxypropylmethylcellulose in the composition according to the present invention can be from 0.05 to 15 %, preferably from 0.1 to 10 %, more preferably from 1 to 5 % by the total weight of the composition.
• the amount of polysorbate 80 in the composition according to the present invention can be from 0.05 to 10 %, preferably from 0.1 to 7 %, more preferably from 0.5 to 4 % by the total weight of the suspension.
• a topical ophthalmological pharmaceutical composition comprising crystalline cediranib, more preferably microcrystalline cediranib in a concentration of for example 0.01 to 10 %, more preferably 0.2 to 5 % weight of the total amount of the composition suspended in a pharmaceutically acceptable vehicle selected from the group comprising liquid paraffin, light liquid paraffin or a mixture thereof.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof.
• the pharmaceutical composition of the present invention only contains cediranib, a hydrate, solvate or pharmaceutically acceptable salt of cediranib or a polymorph thereof as single and only active agent and no other active agent.
• the total amount of the active agent to be administered via the topical route into the eye using the pharmaceutical composition of the present invention will generally range from about 0.01 to 50 mg, preferably 0.02 to 10 mg, more preferably 0.05 to 5 mg per administration and per eye.
• the effective dosage of the pharmaceutical compositions of this invention can readily be determined by those skilled in the art.
• the amount of the administered active ingredient can vary widely according to such considerations as the particular compound and dosage unit employed, the mode and time of administration, the period of treatment, the age, sex, and general condition of the patient treated, the nature and extent of the condition treated, the rate of drug metabolism and excretion, the potential drug combinations and drug-drug interactions, and the like.
• the pharmaceutical composition according to the invention is administered one or more, preferably up to 5, more preferably up to 3 times per day.
• the typical method of administration of the pharmaceutical composition according to the invention is the topical delivery into the eye. Nevertheless, it may in some cases be advantageous to deviate from the amounts specified, depending on individual response to the active ingredient, type of preparation and time or interval over which the administration is affected. For instance, less than the aforementioned minimum amounts may be sufficient in some cases, while the upper limit specified has to be exceeded in other cases. In the case of administration of relatively large amounts, it may be advisable to divide these into several individual doses over the day.
• This pharmaceutical composition will be utilized to achieve the desired pharmacological effect by preferably topical administration into the eye to a patient in need thereof, and will have advantageous properties in terms of drug release, bioavailability, and/or compliance in mammals.
• a patient, for the purpose of this invention is a mammal, including a human, in need of treatment for the particular condition or disease.
• the pharmaceutical composition according to the invention is chemically stable for more than 18 months, preferably more than 24 months.
• Chemically stable according the present invention means that the active agent does not degrade significantly ( ⁇ 1 %) during storage.
• the pharmaceutically acceptable vehicle is prepared by optionally mixing the applicable vehicle or mixture of vehicles with the pharmaceutically acceptable excipients. Thereafter the active agent is dissolved, dispersed or suspended into said mixture.
• the process may also include sterilization e.g. by sterile precipitation, gamma irradiation, sterile filtration, heat sterilization, aseptic filling, or a combination of such optional steps.
• the present invention also relates to a process for the manufacturing of a topical ophthalmological pharmaceutical composition according to the invention, wherein the compound of the present invention is dissolved or suspended in an applicable pharmaceutically acceptable vehicle optionally in the presence of further one or more pharmaceutically acceptable excipients and the suspension is homogenized.
• a topical ophthalmological pharmaceutical composition according to the invention, wherein a) the applicable pharmaceutically acceptable vehicle or a mixture of applicable pharmaceutically acceptable vehicles is prepared by mixing the vehicles optionally in the presence of a further one or more pharmaceutically acceptable excipients, b) the compound of the present invention, preferably cediranib, is dissolved or suspended into said applicable pharmaceutically acceptable vehicle or mixture for example at room temperature, optionally in the presence of a further one or more pharmaceutically acceptable excipients, c) the solution or suspension is homogenized by stirring, shaking or vortexing, preferably stirring, at room temperature, d) the solution or suspension is subdivided into single units and filled into applicable vials, container, tube, flask, dropper and/or syringe.
• step a) the further one or more pharmaceutically acceptable excipients are added to the applicable pharmaceutically acceptable vehicle at elevated temperatures for example of 40 to 70°C.
• the present invention also relates to a use of the pharmaceutical composition according to the invention to treat or prevent ophthalmological disorders.
• the present invention also relates to a method for treating or preventing an ophthalmological disorder comprising administering a pharmaceutical composition containing a pharmaceutically effective amount of an active agent according to the present invention.
• ophthalmological disorders include but are not limited to age- related macular degeneration (AMD), choroidal neovascularization (CNV), choroidal neovascular membrane (CNVM), cystoid macula edema (CME), epi-retinal membrane (ERM) and macular hole, myopia-associated choroidal neovascularisation, vascular streaks, retinal detachment, diabetic retinopathy, diabetic macular edema (DME), atrophic changes of the retinal pigment epithelium (RPE), hypertrophic changes of the retinal pigment epithelium (RPE), retinal vein occlusion, choroidal retinal vein occlusion, macular edema, macular edema due to retinal vein occlusion, retinitis pigmentosa, Stargardt's disease, glaucoma, inflammatory conditions of the eye such as e.g.
• AMD age- related macular degeneration
• CNV choroidal
• examples include but are not limited to angiogenesis in the front of the eye like corneal angiogenesis following e.g.
• AMD age-related macular degeneration
• AMD age-related macular degeneration
• age-related macular degeneration like dry AMD, wet AMD or choroidal neovascularization (CNV).
• AMD age-related macular degeneration
• CNV choroidal neovascularization
• Another embodiment of the present invention is a topical ophthalmological pharmaceutical composition
• the composition is a suspension comprising the active agent suspended in the applicable pharmaceutically acceptable vehicle for the treatment or prevention of a posterior eye disease.
• a further embodiment of the present invention is a topical ophthalmological pharmaceutical composition
• the composition is a non-aqueous solution comprising the active agent dissolved in the non-aqueous applicable pharmaceutically acceptable vehicle for the treatment or prevention of a posterior eye disease.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof.
• posterior eye diseases include but are not limited to age-related macular degeneration (AMD), choroidal neovascularization (CNV), choroidal neovascular membrane (CNVM), cystoid macula edema (CME), epi-retinal membrane (ERM) and macular hole, myopia-associated choroidal neovascularisation, vascular streaks, retinal detachment, diabetic retinopathy, diabetic macular edema (DME), atrophic changes of the retinal pigment epithelium (RPE), hypertrophic changes of the retinal pigment epithelium (RPE), retinal vein occlusion, choroidal retinal vein occlusion, macular edema, macular edema due to retinal vein occlusion, retinitis pigmentosa, Stargardt's disease and retinopathy of prematurity.
• AMD age-related macular degeneration
• CNV choroidal neovascularization
• CNVM
• Preferred posterior eye diseases include age-related macular degeneration (AMD) like dry AMD, wet AMD or choroidal neovascularization (CNV).
• AMD age-related macular degeneration
• CNV choroidal neovascularization
• AMD age-related macular degeneration
• AMD include but are not limited to dry or nonexudative AMD, or wet or exudative or neovascular AMD.
• Suitable pharmaceutically acceptable vehicles used for the suspension include but are not limited to oleoyl polyethyleneglycol gylcerides, linoleoyl polyethyleneglycol gylcerides, lauroyl polyethyleneglycol gylcerides, hydrocarbon vehicles like liquid paraffin (Paraffinum liquidum, mineral oil), light liquid paraffin (low viscosity paraffin, Paraffinum perliquidum, light mineral oil), soft paraffin (vaseline), hard paraffin, vegetable fatty oils like castor oil, peanut oil or sesame oil, synthetic fatty oils like middle chain trigylcerides (MCT, triglycerides with saturated fatty acids, preferably octanoic and decanoic acid), isopropyl myristate, caprylocaproyl macrogol-8 glyceride, caprylocaproyl polyoxyl-8 glycerides, wool alcohols like cetylstearylalcohols, wool fat, glycerol, propylene
• the suspension according to the present invention comprising a lipophilic vehicle like liquid or light liquid paraffin provides by topical administration a sufficient amount of the active agent to the back of the eye which is effective for treating a posterior eye disease.
• Suitable pharmaceutically acceptable vehicles used for the solution include but are not limited to oleoyl polyethyleneglycol gylcerides, linoleoyl polyethyleneglycol gylcerides, lauroyl polyethyleneglycol gylcerides, hydrocarbon vehicles like liquid paraffin (Paraffinum liquidum, mineral oil), light liquid paraffin (low viscosity paraffin, Paraffinum perliquidum, light mineral oil), soft paraffin (vaseline), hard paraffin, vegetable fatty oils like castor oil, peanut oil or sesame oil, synthetic fatty oils like middle chain trigylcerides (MCT, triglycerides with saturated fatty acids, preferably octanoic and decanoic acid), isopropyl myristate, caprylocaproyl macrogol-8 glyceride, caprylocaproyl polyoxyl-8 glycerides, wool alcohols like cetylstearylalcohols, wool fat, glycerol, propylene
• Suitable further pharmaceutically acceptable excipients used in the topical ophthalmological pharmaceutical composition according to the present invention include but are not limited to stabilizers, surfactants, polymer based carriers like gelling agents, organic co-solvents, pH active components, osmotic active components and preservatives.
• the pharmaceutically acceptable vehicle is the basis of the topical ophthalmological pharmaceutical composition according to the present invention and is present in the composition in a minimum concentration of 75%, preferably 80%, more preferably 85% and in a maximum concentration of 99.9%, preferably 99%, more preferably 98% by weight of the total amount of the composition.
• the active ingredient used in the topical ophthalmological pharmaceutical composition is used preferably in a micronized form.
• Micronization can be achieved by standard milling methods, preferably by air jet milling, known to a skilled person.
• the micronized form can have a mean particle size of from 0.5 to 10 ⁇ , preferably from 1 to 6 ⁇ , more preferably from 2 to 3 ⁇ .
• the indicated particle size is the mean of the particle size distribution measured by laser diffraction known to a skilled person (measuring device: HELOS, Sympatec).
• the concentration of the active ingredient in the pharmaceutical composition is from 0.1 to 100 mg/ml, preferably from 1 to 50 mg/ml, more preferably from 2 to 40 mg/ml.
• the pharmaceutical composition according to the invention can be administered as the sole pharmaceutical composition or in combination with one or more other pharmaceutical compositions or active agents where the combination causes no unacceptable adverse effects.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof.
• Combination means for the purposes of the invention not only a dosage form which contains all the active agents (so-called fixed combinations), and combination packs containing the active agents separate from one another, but also active agents which are administered simultaneously or sequentially, as long as they are employed for the prophylaxis or treatment of the same disease. Since the combination according to the invention is well tolerated and is potentially effective even in low dosages, a wide range of formulation variants is possible. Thus, one possibility is to formulate the individual active ingredients of the combination according to the invention separately. In this case, it is not absolutely necessary for the individual active ingredients to be taken at the same time; on the contrary, sequential intake may be advantageous to achieve optimal effects. It is appropriate with such separate administration to combine the formulations of the individual active ingredients simultaneously together in a suitable primary packaging.
• the active ingredients are present in the primary packaging in each case in separate containers which may be, for example, tubes, bottles or blister packs. Such separate packaging of the components in the joint primary packaging is also referred to as a kit.
• the pharmaceutical compositions of the present invention can be combined with other ophthalmological agents.
• Such agents include but are not limited to carotenoids like lycopene, lutein, zeaxanthin, phytoene, phytofluene, carnosic acid and derivatives thereof like carnosol, 6,7- dehydrocarnosic acid, 7-ketocarnosic acid, a zink source like zinc oxide or a zinc salt like its chloride, acetate, gluconate, carbonate, sulphate, borate, nitrate or silicate salt, copper oxide, vitamin A, vitamin C, vitamin E and/or B-carotene.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof.
• compositions of the present invention can be combined with other signal transduction inhibitors targeting receptor kinases of the domain families of e.g. VEGFR, PDGFR, FGFR and their respective ligands or other pathway inhibitors like VEGF-Trap (aflibercept), pegaptanib, sunitinib, ranibizumab, axitinib, pazopanib, bevasiranib, KH-902, mecamylamine, PF- 04523655, E-10030, ACU-4429, volociximab, sirolismus, fenretinide, disulfiram, sonepcizumab and/or tandospirone.
• VEGF-Trap VEGF-Trap
• pegaptanib pegaptanib
• sunitinib sunitinib
• ranibizumab axitinib
• pazopanib pazopanib
• bevasiranib KH
• agents include, by no way of limitation, antibodies such as Avastin (bevacizumab). These agents also include, by no way of limitation, small -molecule inhibitors such as STI-571 / Gleevec (Zvelebil, Curr. Opin. Oncol., Endocr. Metab. Invest. Drugs 2000, 2(1), 74-82), PTK-787 (Wood et al., Cancer Res. 2000, 60(8), 2178-2189), ZD-6474 (Hennequin et al., 92nd AACR Meeting, New Orleans, March 24-28, 2001, abstract 3152), AG-13736 (Herbst et al., Clin. Cancer Res.
• small -molecule inhibitors such as STI-571 / Gleevec (Zvelebil, Curr. Opin. Oncol., Endocr. Metab. Invest. Drugs 2000, 2(1), 74-82), PTK-787 (Wood et al., Cancer Res.
• the pharmaceutical composition of the present invention does not contain regorafenib, a hydrate, solvate or pharmaceutically acceptable salt of regorafenib or a polymorph thereof. Preference is given to a combination with bevacizumab, aflibercept, pegaptanib, ranibizumab, pazopanib and/or bevasiranib.
• the use of the other ophthalmological agents in combination with the pharmaceutical compositions of the present invention will serve to: (1) yield better efficacy as compared to administration of either agent alone,
• Example 1 Ophthalmological suspension comprising cediranib in liquid paraffin (20 mg/ml)
• Example 2 Topical efficacy of different formulations containing cediranib in the laser-induced choroidal neovascularization (CNV) model
• the aim of this study was to determine whether twice daily topical administration (eye drops) of the topical ophthalmological pharmaceutical compositions according to the invention results in a decrease of vascular leakage and/or choroidal neovascularization in a rat model of laser-induced choroidal neovascularisation (Dobi et al, Arch. Ophthalmol. 1989, 107(2), 264-269 or Frank et al, Curr. Eye Res. 1989 Mar, 8(3), 239-247)
• a total of 16 pigmented Brown-Norway rats with no visible sign of ocular defects were selected and randomly assigned to two groups of six to eight animals each.
• the animals were anaesthetized by an intraperitoneal injection (15 mg / kg xylazine and 80 mg / kg ketamine (dissolved in water containing 5 mg/ml chlorobutanol hemihydrate and propylenglycol)
• a atropin dissolved in 0.9 % saline containing Benzalkonium chloride
• choroidal neovascularisation was induced by burning six holes in the retina (disruption of Bruch's membrane) of one eye per animal (lesion size: 50 ⁇ , laser intensity: 150 mW; stimulus duration: 100 ms) using a 532 nm argon laser.
• the following formulations were included: a) 100 % light liquid paraffin as used in example 1 (vehicle control
• Each lesion was scored with 0 (no leakage) to 3 (strongly stained), and a mean from all 6 lesions was used as the value for the respective animal.
• animals were sacrificed and eyes were harvested and fixed in 4% paraformaldehyde solution for 1 hour at room temperature. After washing, the retina was carefully peeled, and the sclera-choroid complex was washed, blocked and stained with a FITC-isolectine B4 antibody in order to visualize the vasculature. Then, the sclera- choroids were flat-mounted and examined under a fluorescence microscope (Keyence Biozero) at 488 nm excitation wavelength. The area (in ⁇ 2 ) of choroidal neovascularization was measured using ImageTool software.
• Table 1 Single values represent the means from three different observers blinded with respect to treatment.
• Neovascular area of vehicle paraffin, formulation a
• cediranib example 1, formulation b
• Table 2 Single values represent the means from all six lesions.

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